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Nephrostomy tube: Care at homeNNephrostomy tube: Care at homeNephrostomy tube: Care at homeEnglishOtherChild (0-12 years);Teen (13-18 years)KidneysKidneysNon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZDalia Bozic, RN, BScN;Catherine Daniels, RN, MS, ACNP6.0000000000000070.0000000000000800.000000000000Health (A-Z) - ProcedureHealth A-Z<p>A nephrostomy tube drains urine from the kidney to the outside of the body. Learn how to care for your child's nephrostomy tube at home. </p><p>Your child is going home with a <a href="/Article?contentid=2458&language=English">nephrostomy tube</a>. The tube needs care at home. A nurse will teach you how to care for the tube before your child leaves the hospital.</p> <h2>What is a nephrostomy tube?</h2> <p>A nephrostomy tube is a small tube that drains urine from your child's kidney to the outside of your child's body. It is also called a nephrostomy catheter. </p> <p>The place where the tube comes out of your child's body is called the exit site. When your child leaves the hospital, the exit site will be covered with a dressing. </p><h2>Key points</h2> <ul> <li>Nephrostomy tubes require regular care at home.</li> <li>Parents can learn how to do regular maintenance of the tube.</li> <li>Parents may instil or flush a nephrostomy tube. However, only a professional should irrigate a nephrostomy tube.</li> </ul><h2>Problems that require medical attention</h2> <p>There can be problems with the nephrostomy tube that you should not try to solve by yourself. Call your child's urology clinic or hospital right away if any of the following things happen: </p> <ul> <li>The tube comes out. Do not try to put the tube back in yourself. </li> <li>There is a change in urine colour. It is normal for the urine to be a little pink from small amounts of blood. If there is a further reddening of colour, call your child's urology clinic. </li> <li>Less urine is coming out of the tube. Normally, you should see a slow, continuous flow of urine. If less urine is coming out of the tube, flush the tube and then call the urology clinic. </li> <li>Your child develops <a href="/Article?contentid=30&language=English">fever</a> or chills. This could be a sign of infection. </li> </ul><h2>At SickKids</h2> <h3>Supporting your child</h3> <p>When preparing your child for an operation, the urology team recommends that whenever possible, your child and family members attend the Pre-Admission Program offered at SickKids. For more information call 416-813-6150 or visit the website at <a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p>A Child Life Specialist can also help to prepare and support your child if they are anxious about the operation.</p><h2>Useful websites</h2> <p><a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a title="" href="/" target="_blank">www.aboutkidshealth.ca</a> </p> <p><a title="" href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>
Tube de néphrostomie : soins à domicileTTube de néphrostomie : soins à domicileNephrostomy tube: Care at homeFrenchOtherChild (0-12 years);Teen (13-18 years)KidneysKidneysNon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZDalia Bozic, RN, BScN;Catherine Daniels, RN, MS, ACNP6.0000000000000070.0000000000000800.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Vous apprendrez comment prendre soin du tube de néphrostomie de votre enfant à la maison.</p><p>Votre enfant retourne à la maison avec un tube de néphrostomie. Il faudra assurer les soins du tube à la maison. Une infirmière vous montrera comment prendre soin du tube avant que votre enfant ne quitte l'hôpital.</p> <h2>Qu'est-ce qu'un tube de néphrostomie?</h2> <p>Un tube de néphrostomie est un petit tube qui draine l'urine des reins de votre enfant jusqu'à extérieur du corps. On l'appelle aussi cathéter de néphrostomie.</p> <p>L'endroit où le tube sort du corps de votre enfant s'appelle le point d'émergence. Quand votre enfant quittera l'hôpital, le point d'émergence sera couvert d'un pansement. </p><h2>À retenir</h2> <ul> <li>Les tubes de néphrostomie nécessitent des soins réguliers à la maison.</li> <li>Les parents peuvent apprendre comment prendre soin régulièrement du tube.</li> <li>Les parents peuvent instiller ou rincer un tube de néphrostomie, mais seul un professionnel peut l'irriguer.</li> </ul><h2>Problèmes qui nécessitent des soins médicaux</h2> <p>Des problèmes pourraient survenir avec le tube de néphrostomie; vous ne devez pas tenter de les régler vous­même. Appelez la clinique d'urologie de votre enfant ou l'hôpital immédiatement si l'une ou l'autre des choses suivantes se produisent :</p> <ul> <li>le tube sort. Ne tentez pas de remettre le tube en place vous-même;</li> <li>l'urine change de couleur. C'est normal que l'urine soit un peu rosée, en raison de petites quantités de sang. Cependant, si l'urine est rouge foncé, appelez la clinique d'urologie de votre enfant;</li> <li>une quantité inférieure d'urine sort du tube. Normalement, vous devriez voir un débit lent et continu d'urine. Si moins d'urine sort du tube, rincez-le et appelez la clinique d'urologie;</li> <li>votre enfant développe de la fièvre ou des frissons. Ce peut être un signe d'infection.</li> </ul><h2>À l’hôpital SickKids</h2> <h3>Soutien à votre enfant</h3> <p>Quand vous préparerez votre enfant pour une opération, l'équipe d'urologie recommande que dans la mesure du possible, votre enfant et les membres de sa famille participent au programme préalable à l'admission à Sick Kids. Pour de plus amples renseignements, composez le 416-813-6150 ou visitez le site Web, à l'adresse <a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p>Un spécialiste des enfants peut aussi aider à préparer et à soutenir votre enfant si l'opération l'inquiète.</p><h2>Sites Web utiles</h2> <p><a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a title="" href="http://www.aboutkidshealth.ca/" target="_blank">www.aboutkidshealth.ca</a> </p> <p><a title="" href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>

 

 

Nephrostomy tube: Care at home1218.00000000000Nephrostomy tube: Care at homeNephrostomy tube: Care at homeNEnglishOtherChild (0-12 years);Teen (13-18 years)KidneysKidneysNon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZDalia Bozic, RN, BScN;Catherine Daniels, RN, MS, ACNP6.0000000000000070.0000000000000800.000000000000Health (A-Z) - ProcedureHealth A-Z<p>A nephrostomy tube drains urine from the kidney to the outside of the body. Learn how to care for your child's nephrostomy tube at home. </p><p>Your child is going home with a <a href="/Article?contentid=2458&language=English">nephrostomy tube</a>. The tube needs care at home. A nurse will teach you how to care for the tube before your child leaves the hospital.</p> <h2>What is a nephrostomy tube?</h2> <p>A nephrostomy tube is a small tube that drains urine from your child's kidney to the outside of your child's body. It is also called a nephrostomy catheter. </p> <p>The place where the tube comes out of your child's body is called the exit site. When your child leaves the hospital, the exit site will be covered with a dressing. </p><h2>Key points</h2> <ul> <li>Nephrostomy tubes require regular care at home.</li> <li>Parents can learn how to do regular maintenance of the tube.</li> <li>Parents may instil or flush a nephrostomy tube. However, only a professional should irrigate a nephrostomy tube.</li> </ul><h2>Care of the nephrostomy tube</h2> <p>Your child's nurse will show you how to care for the tube before your child goes home from hospital. If you are not shown how to care for the tube, ask the staff at the urology clinic. </p> <p>To care for your child's nephrostomy tube, follow these instructions:</p> <ul> <li><a href="/Article?contentid=1981&language=English">Wash your hands</a> well with soap and water before and after you touch the tube or urine. </li> <li>Check the catheter tubing every hour for leaks, loops or kinks. </li> <li>Always keep the catheter drainage bag lower than your child's bladder. </li> <li>Empty the drainage bag regularly. </li> </ul> <h3>Changing the dressing</h3> <p>Nurses usually change the dressings on a nephrostomy tube, but if you have been taught how to do it and you are comfortable, you can change the dressing yourself. </p> <p>Every three days, or if the dressing is wet, you should change the dressing on the exit site. To change the dressing, follow these steps: </p> <ol> <li>Cleanse the exit site with a cleansing solution such as Betadine. If you do not have a cleansing solution, you can use soap and water.</li> <li>Rinse with clean water.</li> <li>Cover the site with gauze. Stick the gauze in place with tape.</li> </ol> <p>Three days after the nephrostomy tube is put in, if there is no drainage of urine or other fluids from around the tube, you can stop putting dressings on the exit site. This is more likely to happen with older children. </p> <h2>Flushing the nephrostomy tube with normal saline</h2> <p>If the flow of urine from the tube decreases or stops, the tube may need to be flushed with a salt water solution called <a href="/En/HealthAZ/TestsAndTreatments/HomeHealthCare/Pages/Normal-Saline-Solution-How-prepare-home.aspx">normal saline</a>. This clears any small pieces of waste that might be blocking the catheter from draining. Flushing is also called instilling. </p> <p>To flush the tube, follow these steps:</p> <ol> <li>Clean the connection between the nephrostomy tube and the drainage tubing with an alcohol swab.</li> <li>Pinch the nephrostomy tube between your thumb and forefinger. Disconnect it from the drainage tubing. Set the tubing end to the side on a clean paper towel.</li> <li>Attach the syringe of normal saline to the end of the nephrostomy tube. Gently push the plunger to fill the catheter with the normal saline solution. If you meet resistance and the saline solution does not flow, see the instructions below.</li> <li>Once the normal saline is all in, remove the syringe. Reconnect your child's nephrostomy tube to the drainage tubing. The normal saline will drain out on its own.</li> </ol> <h3>If you meet resistance</h3> <p>If you meet resistance while you are pushing the plunger and the saline solution does not flow, follow these steps:</p> <ol> <li>Check the tubing for kinks and try again.</li> <li>If there is still resistance, reconnect the tubing to the nephrostomy tube. Watch for a good flow of urine.</li> <li>If urine does not flow, call your child's urology clinic.</li> </ol> <h2>Do not pull the saline out of the tube with the syringe</h2> <p>Flushing a nephrostomy tube is not the same as irrigating it. Irrigation is putting normal saline into the tube and then pulling it out with a syringe. Never do this yourself. Irrigation should only be done by a doctor or a nurse. </p> <h2>Your child can have a bath or shower</h2> <p>Your child can have a bath or shower with a nephrostomy tube. After the bath or shower, change the dressing right away.</p><h2>Problems that require medical attention</h2> <p>There can be problems with the nephrostomy tube that you should not try to solve by yourself. Call your child's urology clinic or hospital right away if any of the following things happen: </p> <ul> <li>The tube comes out. Do not try to put the tube back in yourself. </li> <li>There is a change in urine colour. It is normal for the urine to be a little pink from small amounts of blood. If there is a further reddening of colour, call your child's urology clinic. </li> <li>Less urine is coming out of the tube. Normally, you should see a slow, continuous flow of urine. If less urine is coming out of the tube, flush the tube and then call the urology clinic. </li> <li>Your child develops <a href="/Article?contentid=30&language=English">fever</a> or chills. This could be a sign of infection. </li> </ul><h2>At SickKids</h2> <h3>Supporting your child</h3> <p>When preparing your child for an operation, the urology team recommends that whenever possible, your child and family members attend the Pre-Admission Program offered at SickKids. For more information call 416-813-6150 or visit the website at <a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p>A Child Life Specialist can also help to prepare and support your child if they are anxious about the operation.</p><h2>Useful websites</h2> <p><a title="" href="http://www.sickkids.ca/" target="_blank">www.sickkids.ca</a> </p> <p><a title="" href="/" target="_blank">www.aboutkidshealth.ca</a> </p> <p><a title="" href="http://www.cua.org/" target="_blank">www.cua.org</a> </p>Nephrostomy tube: Care at home

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